1. Florida Department of Health County Health Department School-Based Sealant Programs: Frequently Asked Questions Christina Vracar, DA, MPH Public Health Dental Program Administrator May 25, 2016 1

2. Florida School-Based Sealant Program Development Sections 466.003 and 466.024, Florida Statutes – Health Access Settings – Hygiene services without the physical presence, prior examination, or authorization of a dentist Dental Sealants 2

3. Florida Department of Health School- Based Sealant Program Development Local decision to: – Add a School-Based Sealant Program (S-BSP) to an existing County Health Department (CHD) Dental Program or – Initiate dental services at a CHD by implementation of a new S-BSP 3

4. CHD Sealant Return on Investment Sealants can yield up to an 88% Return on Investment – Every $1 invested in dental sealants at CHDs saves $1.88 in fillings 4

5. Program Development Cost-effective workforce and equipment models 5

6. County Health Department School-Based Sealant Program Service Delivery Process Map 6

7. Services Billed Depending on the model, the following services are commonly provided and billed for by CHD S-BSPs: 7

8. Data Collection The Florida Department of Health’s Health Management System (HMS) is used to record dental services and bill for services provided. 8

9. Managed Care Frequently Asked Questions 1.Does the S-BSP administrator have access to FLMMIS? – Yes. 2.How do health plans know if a child enrolled in their plan has received sealants in a school based sealant program? – Place of Service Designation: 03. 9

10. Managed Care Frequently Asked Questions 3.In order for health plans and CHDs to collaborate, is there a requirement to have a contract between the two entities? – Yes. 4.How can health plans help their enrolled children/families be more aware of S-BSPs in their area? – flhealth.gov/dental – https://youtu.be/Ukmpx7rd8pE https://youtu.be/Ukmpx7rd8pE 10

11. Managed Care Frequently Asked Questions 5.How can the health plans assist in increased returned consent forms? – Ensure the members are aware of DOH S-BSPs in their county. 6.Is there data available for DOH S-BSPs? – Yes. – 46 CHDs with a S-BSP accessing over 600 Florida schools. – Over 15,000 children received more than 56,000 sealants during SFY 2014-2015. 11

12. County Health Departments with a School- Based Sealant Program as of April 2016 1.Baker 2.Bay 3.Bradford 4.Brevard 5.Broward 6.Calhoun 7.Charlotte 8.Citrus 9.Clay 10.Columbia 11.Miami-Dade 12.DeSoto 13.Duval 14.Flagler 15.Franklin 12 16.Glades 17.Hamilton 18.Hendry 19.Hernando 20.Highlands 21.Holmes 22.Indian River 23.Jackson 24.Jefferson 25.Lake 26.Lee 27.Leon 28.Liberty 29.Madison 30.Martin 31.Nassau 32.Orange 33.Palm Beach 34.Pasco 35.Pinellas 36.Polk 37.Putnam 38.St. Johns 39.St. Lucie 40.Seminole 41.Sumter 42.Union 43.Volusia 44.Wakulla 45.Walton 46.Washington

13. MADISON TAYLOR JEFFERSON SANTA ROSA OKALOOSA WALTON HOLMES JACKSON WASHINGTON CALHOUN BAY GULF GADSDEN LIBERTY FRANKLIN LEON WAKULLA HAMILTON SUWANNEE LAFAYETTE DIXIE COLUMBIA GILCHRIST LEVY BRADFORD ALACHUA PUTNAM MARION LAKE CITRUS SUMTER HERNANDO BAKER NASSAU DUVAL CLAY ST JOHNS FLAGLER VOLUSIA SEMINOLE ORANGE BREVARD OSCEOLA PASCO HILLSBOROUGH POLK MANATEE HARDEE HIGHLANDS PINELLAS UNION INDIAN RIVER OKEECHOBEE ST LUCIE MARTIN PALM BEACH BROWARD DADE MONROE COLLIER HENDRY LEE CHARLOTTE GLADES DESOTO SARASOTA ESCAMBIA Florida Department of Health County Health Department School-Based Sealant Programs

14. Managed Care Frequently Asked Questions 7.Can the health plans capture the services in this state fiscal year that have already been rendered? – Yes. – Dental Subcontractor. – https://home.flmmis.com/. https://home.flmmis.com/ 14

15. Managed Care Frequently Asked Questions 8.How can health plans receive more information on the billing process and claims information for children who are receiving services? – Agency for Health Care Administration (AHCA) – Health plan’s dental subcontractor – Additional statewide or local contracts at sustainable rates 15

16. Contact Information Christina Vracar, DA, MPH Public Health Dental Program Administrator (850) 245-4476 Christina.Vracar@flhealth.gov 16